PMID- 18430691
OWN - NLM
STAT- MEDLINE
DCOM- 20081217
LR  - 20141120
IS  - 1025-3823 (Print)
IS  - 1025-3823 (Linking)
VI  - 15
IP  - 1
DP  - 2008
TI  - How have Global Health Initiatives impacted on health equity?
PG  - 19-23
LID - 10.1177/1025382307088094 [doi]
AB  - This review examines the impact of Global Health Initiatives (GHIs) on health 
      equity, focusing on low- and middle-income countries. It is a summary of a 
      literature review commissioned by the WHO Commission on the Social Determinants 
      of Health. GHIs have emerged during the past decade as a mechanism in development 
      assistance for health. The review focuses on three GHIs, the US President's 
      Emergency Plan For AIDS Relief (PEPFAR), the World Bank's Multi-country AIDS 
      Programme (MAP) and the Global Fund to Fight AIDS, TB and Malaria. All three have 
      leveraged significant amounts of funding for their focal diseases - together 
      these three GHIs provide an estimated two-thirds of external resources going to 
      HIV/AIDS. This paper examines their impact on gender equity. An analysis of these 
      Initiatives finds that they have a significant impact on health equity, including 
      gender equity, through their processes of programme formulation and 
      implementation, and through the activities they fund and implement, including 
      through their impact on health systems and human resources. However, GHIs have so 
      far paid insufficient attention to health inequities. While increasingly 
      acknowledging equity, including gender equity, as a concern, Initiatives have so 
      far failed to adequately translate this into programmes that address drivers of 
      health inequity, including gender inequities. The review highlights the 
      comparative advantage of individual GHIs, which point to an increased need for, 
      and continued difficulties in, harmonisation of activities at country level. On 
      the basis of this comparative analysis, key recommendations are made. They 
      include a call for equity-sensitive targets, the collection of 
      gender-disaggregated data, the use of policy-making processes for empowerment, 
      programmes that explicitly address causes of health inequity and impact 
      assessments of interventions' effect on social inequities.
FAU - Hanefeld, Johanna
AU  - Hanefeld J
AD  - Health Policy Unit, London School of Hygiene and Tropical Medicine, UK. 
      Johanna.Hanefeld@lshtm.ac.uk
LA  - eng
PT  - Journal Article
PT  - Review
PL  - England
TA  - Promot Educ
JT  - Promotion & education
JID - 9431615
SB  - IM
MH  - Female
MH  - *Global Health
MH  - *Health Promotion
MH  - *Health Status Disparities
MH  - Humans
MH  - *International Cooperation
MH  - Male
RF  - 26
EDAT- 2008/04/24 09:00
MHDA- 2008/12/18 09:00
CRDT- 2008/04/24 09:00
PHST- 2008/04/24 09:00 [pubmed]
PHST- 2008/12/18 09:00 [medline]
PHST- 2008/04/24 09:00 [entrez]
AID - 15/1/19 [pii]
AID - 10.1177/1025382307088094 [doi]
PST - ppublish
SO  - Promot Educ. 2008;15(1):19-23. doi: 10.1177/1025382307088094.